To Study The Role of Multidetector Computed Tomography in Evaluation of Grading of Liver Injuries

Abstract Background: Abdominal trauma, particularly liver injuries, is a major cause of morbidity and mortality worldwide, often resulting from road traffic accidents. The liver’s size and vascularity make it vulnerable in blunt trauma. Multidetector computed tomography (MDCT) has emerged as the gold standard for assessing liver injuries due to its high accuracy and detailed imaging capabilities. This study evaluates the role of MDCT in grading liver injuries at MGM Hospital, Panvel—a key trauma center due to its highway location. Materials & Methods: A retrospective analysis of 100 patients who presented with suspected abdominal injuries based on FAST ultrasound scans, clinical findings, or a severe mechanism of injury, had undergone contrasted enhanced computed tomography of the abdomen for assessing liver trauma features. Results & Discussion: Out of 100 cases of liver trauma, the imaging findings were AAST grade I , (11%), AAST grade II (43%), AAST grade III (25%),, AAST grade IV (12%), AAST grade V (9%). The study confirms MDCT as a reliable tool for evaluating and grading liver injuries, aligning well with surgical findings and outcomes. Most cases involved young males in RTAs, with Grades II and III injuries being most common. Conservative management was effective. While FAST aids initial assessment, MDCT remains essential, especially for higher-grade injuries linked to vascular damage and surgical needs. Conclusions: MDCT is vital for accurately diagnosing and grading liver trauma, guiding effective management. At MGM Hospital, it improved injury assessment and treatment planning, proving essential for stable abdominal trauma cases.